Robert John Anderson, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

DR.0069784 Issued in CO

Practice address

10032 N Wallace Ave
Kansas City, MO 64157-7856

Phone

(515) 291-3561

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

General Surgery

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Center for Vein Restoration Ma LLCGroup PAC ID 2961734611, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.andersonmd.p3@direct.cvr.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Vein Restoration Ma LLC

  • Surgery Physician
  • Framingham, MA
  • NPI 1518523810
  Medicare reassignment Care Compare group NPD
• Abundant Life Vein Center, LLC

  • Vascular Surgery Physician
  • West Des Moines, IA
  • NPI 1700925526
  NPD Authorized official
• Abundant Life Vein Centers LLC

  • Exclusive Provider Organization
  • West Des Moines, IA
  • NPI 1811126055
  NPD Authorized official
• Center for Vein Restoration Ma LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Woburn, MA
  • NPI 1861360992
  NPD
• Affinity Sports Medicine, LLC

  • Sports Medicine (Family Medicine) Physician
  • Kansas City, MO
  • NPI 1982114302
  NPD (past)
• Colorado Medical Group, PLLC

  • Vascular Surgery Physician
  • Englewood, CO
  • NPI 1053928234
  NPD (past)
• USA Vein Clinics of Decatur LLC

  • Vascular Surgery Physician
  • Decatur, GA
  • NPI 1912301003
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1588656243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 NORTHDALE BLVD STE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241871",
            "telephone_number": "813-961-1331",
            "fax_number": "888-850-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10032 N WALLACE AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641577856",
            "telephone_number": "515-291-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KS",
            "license": "04-35274",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "2011004796",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CO",
            "license": "DR.0069784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Elisabeth Anderson
• Leanne Anderson, REGISTERED NURSE
• Micah Anderson
• Nicole Anderson, LMSW
• Olivia Rose Anderson, DO
• Samantha Anderson, DNP, FNP-C
• Sara Jane Anderson, MD
• Shannon Marie Anderson, APRN
• Steve Russell Anderson
• Sue K Anderson, MD

• Vascular Surgery Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Vascular Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.